Active NPI
Jennifer Dembowski, MA, LCPC, NCC
- Mental Health Counselor
- Leavenworth, KS
National Provider Identifier
1902276942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2696
- Practice address
- 205 S 5TH St Ste 3
Leavenworth, KS 66048-2602 - Phone
- (913) 240-7774
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2696 | KS | Primary |
Addresses
Primary practice location
205 S 5TH St Ste 3
Leavenworth, KS 66048-2602
Mailing address
604 Scott Ave
Fort Leavenworth, KS 66027-1321
Phone (913) 240-7774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2696 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1902276942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 SCOTT AVE",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660271321",
"telephone_number": "913-240-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S 5TH ST STE 3",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660482602",
"telephone_number": "913-240-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBOWSKI",
"first_name": "JENNIFER",
"credential": "MA, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.